According to recent clinical findings, older adults with diabetes who maintain tight glycemic control and who use two or more types of glucose-lowering medications have an increased risk of hospitalization and longer length of hospital stay compared with patients who maintain moderate control and use fewer medications. Several guidelines based on evidence provided by clinical trials have recommended the need to individualize the glycemic control among elderly patients with diabetes. However, it is rather unclear how to accomplish it considering that elderly people with diabetes have multiple comorbidities and switch to polypharmacy.
Therefore, the characterization of treatment outcomes including glycemic control may serve as a step toward individualizing treatment. A recent study evaluated 10,091 patients with diabetes (mean age, 75 years; mean HbA1c, 7.2%; years since diagnosis, 9.6…